HomeMy WebLinkAboutPermit Electrical 2005-1-21
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225 FIFTH STREET Cl SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)7d6-36890t-~;~.., ~"?9
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ELECTRICAL PERMIT APPLICATION -fVIl "\9 ~ 00&"'9-\9
City Job Number COJIIII zoo y_ 0 (:) 7Lf ( Date I - 2 ?r~ ~)~ IS' "'0~~1S' IS'
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3. COMPLETE FEE SCHEDUT>4l B 0 . "'~.~~\9~
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A. New Residential- Single or Multi-Fal 'ly IIing i1ty!f:o~.
is't;> ~q
1. LOCATION OF INSTALLATION
b fDL( A ~ ~c=r\. <) ,1-
LEGAL DESCRIPTION
17oL-SYL(L(
OZl{()O
JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor8.;.er/i};W fl'i?J se(U;~. /XL
I - J. J
Address1);i3rJ2 h~{J-1 J)i Ijl'SjON /;Je
City EG~\f. 77~O~ Phone bo1--690g
Supervisor License Number I..J 60R 5
10 Ii /01
I J
Constr. Contr. Number /5' /"51/
<lLu/:2Do ()
I )
Signature of Supervising Electrician
~~,y #tnr
I
Expiration Date
Expiration Date
Owners Name (' o./l-( Co c::> ...-...
Ifsb 0 /,Mk,Mtth
City t::-t.-L G--c-4 E Phone -S- Z ( ~ 7 ( 6 (
Address
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Service Included
lOb
~
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B. Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less $ 63.00
20A"J':~ 400 Amps $ 75.00
4~1~!~~M~SO $125.00
NlJlid~~ 'J.:,aw ~ l'au$163.00
~R~PI).J;{~~It5fhosethe OregnJJ Ut!Jj;5.00
ODseP.JW.e~~-OO10th ItJl~A .,._'" ~ MJ50.00
· TOIJ ma rOUgh a O>\,ltOrth
<a~*~~p~.
Install~<flA&.tef~~nJ/Wi.tt6<~e
~-!)')"'1l 10,.,
200 Amps or less ~/. $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit. "
.1-.' ': ., I
Eacli~,9~ittqmrl f~c~it or with
ServJdeIGtFeedet!EetoUr-'LL r".':-'. .~ - .$ 3.00
r..U-/"Un',/-Tl-' . ".,.1 : _1\1 oJ ,_ I: ,..':::.', ~ '
/1'_ jl~h,Li~:-'! U;\'(IF~,j TJ-"jf,: F-~->;- .-:', . ,..'
E. M1liti\Ul1~qQX!"eI),~~ehf~deH.nq(ti1Clu.'dettj. -'-E'1leh Installation
- 'lJTJI r r.:.: ri[)i\l~ r'J"'L. fl'.
f. ill\/ ,., Dr :, III I"" ~.' ..' '-'0 H.' un.
ru, .11:J....I,.a".l l';::rillJ_;
Pump or lITIgatIOn .
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 43.00
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SlIBTOTAL OF ABOVE
Il.{~
/OD ~
i ltLfO
ibB L( D
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pennit Application 1-03.doc
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2004-00741
ISSUED: 07/13/2004
APPLIED: 06/22/2004
EXPIRES: 07/19/2005
VALUE: $ 150,400.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6804 Aster St
ASSESSOR'S PARCEL NO.: 1702344402400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: St Lucia tandem lot 7 unit 2 - same as com2004-00402 6802 aster
Owner: CORY COON
Address: 1860 MANIHI
EUGENE OR 97404
Residential
Phone Number: 541-521-9181
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees ~qd: . 2 E ~n~capped:
Paved't>~ilAfRqd: 1 SHt\LL EXPI~~f lH IS~~~act:.
% ofI;Plt1~\?t&~~! UNOER 1HIS PERMH .'i
t\U1HORIIEO 's' t\Bt\NOONEO fOR
. . T"I"'CIl nR \
I PUBLIC IMP~\QyiM~~ERIOO.
Sidewalk Type:
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License Expiration Date
CASCADE CONTRAC~I~R~PJF.<,,-. 11~%!3c?uires outo08/02/2005
EVERYDAY ELECTItl'CAL.SERV.IC. E' <_~jon .8~~637_1 y. . ~8/1212005
COMFORT FLOW f; il::W r.ll. ~.. JiJ:.)r<.f.}_d bY46<< uregon Utllit li/27/2005
~ .""r".t',..." ..~nter rl'osar~II~S are set fo n
SHAD CHASAN SURRETT" ,.J" '-,t." '. ! I ISH 9 ..0.1/14/2006
. . ,.. .-. ....rro "". "r.~ ('\ ~h.roll"'" )./\ R QI:\?_Orw.
1,1'-""'''' ..........- --~. ....-. - ., 'J
I (BUILD.I-NGrI~.Ff)J.WrA(froM1 of the rules by
calling the center. (Note: the telephone
mjfT1B~t?15\e~:le Oregon Utility NotiticatibRt Size:
Heig't8M\~f~tt'18UO-332-2~9 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Buildjpg: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary. Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
4
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1. Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
13.00
18.00
10.00 .
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone
541-521-9181
541-607-6908
541-726-0100
541-741-3553
607
905
440
. Yes Downspouts/Drains: To Storm Sewer
Storm drainage shall be directed to rear of lot and connect to the private storm sewer tap available
for the lot. - MAS .. .
Notes:
Pal!e 1 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2004-00741
ISSUED: 07/1312004
APPLIED: 06/22/2004
EXPIRES: 07/19/2005
VALUE: $ 150,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
I 541-726-3676 Fax
541-726-3769 Inspection Line
I Valuati'on Descriotion I
Dwellinl!s
Garal!e
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,512.00
440.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$139,708.80
$10,692.00
$150,400.80
06/22/2004
06/22/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 6/22/04 1200400000000000957
-Mechanical Issuance Fee- $10.00 7/13/04 1200400000000001079
+ 10% Administrative Fee $117.04 7/13/04 1200400000000001079
. + 7% State Surcharge $81.93 7/13/04 1200400000000001079
. 3 Baths One & Two Family $306.00 7/13/04 1200400000000001079
Addressing Assignment $31.00 7/13/04 1200400000000001079
Building P~rmit $731.40 7/13/04 1200400000000001079
Dryer Vent $6.00 7/13/04 1200400000000001079
Exhaust Hoods $9.00 7/13/04 1200400000000001079
Fixture $28.00 7/13/04 1200400000000001079
Furnace - up to 100,000 btu $12.00 7/13/04 1200400000000001079
Gas Outlets 1-4 $4.00 7/13/04 1200400000000001079
Plan Review Major - Planning $103.00 7/13/04 1200400000000001079
Sanitary Sewer - Improvement . $430.25. 7/13/04 1200400000000001079
Sanitary Sewer - Reimbursement $566.00 7/13/04 1200400000000001079
SDC MWMC Administration $10.00 7/13/04 1200400000000001079
SDC MWMC Improvement $214.23 7/13/04 1200400000000001079
SDC MWMC Reimbursement $314.63 7/13/04 1200400000000001079
SDC Sanitary/Storm Admin $108.15 7/13/04 1200400000000001079
SDC Transpo Admin $53.54 7/13/04 1200400000000001079
SDC Transpo Improvement $727.42 7/13/04 1200400000000001079
SDC Transpo Reimbursement $164.89 7/13/04 1200400000000001079
Storm Drainage Impervious Area $806.35 7/13/04 1200400000000001079
Temp Power 200 amps or less $50.00 7/13/04 1200400000000001079
Vent Fan $24.00 7/13/04 1200400000000001079
Willamalane Attached (duplex) $924.00 7/13/04 1200400000000001079
+ 10% Administrative Fee $14.40 1/21/05 2200500000000000080
+ 7% State Surcharge $10.08 1/21/05 2200500000000000080
Residence Wiring 1000 Sq Ft $106.00 1/21/05 2200500000000000080
Residence Wiring Ea Addtl 500 $38.00 1/21/05 2200500000000000080
Total Amount Paid $6,101.31
Pal!e 2 of 4
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination. Permit
PERMIT NO: cOM2004-00741
ISSUED: .07/13/2004
APPLIED: 06/22/2004
EXPIRES: 07/19/2005
VALUE:. $ 150,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
Public Works Review
06/24/2004
07/12/2004
06/24/2004
I .Plan Reviews I
06/24/2004 APP
07/12/2004 APP
06/25/2004 APP
LLH
TAJ
MS
6/25/2004 - Storm drainage shall be
directed to rear of lot and connect to .
the private storm sewer tap
available for the lot. - MAS
6/25/2004 - Eaves encroach into
private drainage easement, however,
this has been determined to be ok. -
MAS
Structural Review
06/24/2004
07/06/2004
APP RJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection.: After all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking..
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover~
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking. -
Rough Plumbing: Prior to cover and including required testing.
Water Line: "rio~ to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer ....irie:, Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfl,oor Gas:, After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presur~ test done at this point
Rough Mechanical: Prior to Cover
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2004-00741
ISSUED: 07/13/2004
APPLIED: 06122/2004
EXPIRES: 07/19/2005
VALUE: $ 150,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole: .
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utilitycompany energizing service.
Final Electric: When all electrical work is complete.
Firewall: Located and constructed according to plans.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that ,all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 4 of 4
225 Fifth Street
Sprl~gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00741
COM2004-00741
COM2004-00741
COM2004-00741
RECEIPT #:
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Check
1/21/2005
CASCADE CONTRACTING
r'ity of Springfield Official Receipt
,velopment Services Department
Public Works Department
2200500000000000080
Date: 0112112005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
6117
Page 1 of 1
In Person
Payment Total:
10:43:44AM
Amount Due
106.00
38.00
10.08
14.40
$168.48
Amount Paid
$168.48
$168.48